HCBS Settings/Community Inclusion Rule

HCBS Settings/Community Inclusion Rule

In January of 2014, CMS released new requirements for Home and Community-Based Services (HCBS) waivers administered by states. The rule became effective March 17, 2014. The rule says that federal Medicaid funds can no longer be used to pay for waiver services that are offered in an institutional setting, settings adjacent to institutions, or other settings that have the effect of isolating people who are receiving HCBS waiver services.